Rognerud, Diane
Rognerud, Diane is an sole proprietor health care provider with primary practice located at 114 Maine Street 2Nd Floor #3 , Brunswick ME 04011-2029. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rognerud, Diane can be contacted via phone (207) 798-1924.Contact Information
Primary practice address
114 Maine Street 2Nd Floor #3
Brunswick ME 04011-2029
Phone: (207) 798-1924
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC3157 | Maine |
Profile Details
| NPI number | 1427008879 |
|---|---|
| LBN Legal business name | Rognerud, Diane |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | May 20th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427008879 | NPPES |
| Maine | MEDICAID | 431536299 |
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